Managed Care Contracting Specialist, Acelis Connected Health

Abbott • United States of America : Remote, IL

12d • $83,300 - $166,600 • Remote

About The Position

The Managed Care Contracting Specialist for Acelis Connected Health – Heart Failure manages and renegotiates contracts for Durable Medical Equipment (DME) suppliers and Independent Diagnostic Testing Facilities (IDTF). The role ensures regulatory compliance, optimizes contractual terms, maintains provider relationships, and oversees the creation and administration of Letters of Agreement (LOAs) that support operational and financial objectives.

The position is based in the United States and is remote. It is part of Abbott’s Heart Failure division and Sales Force job family.

Requirements

• Associate degree or equivalent, or at least 3 years of experience in managed care, payer relations, or healthcare sales; experience in DME or IDTF is preferred.
• Strong understanding of payer contracting, reimbursement methodologies, and healthcare regulations.
• Excellent negotiation, communication, and relationship-building skills.
• Proficiency in CRM and contract management systems.
• Ability to attend job-related courses and seminars as required.
• Ability to use office equipment relevant to job functions.

Nice To Haves

• Experience working with Medicare Advantage, Medicaid MCOs, and commercial payers to obtain LOAs.
• Familiarity with HCPCS coding and billing practices for DME and diagnostic services.
• Ability to interpret and explain clinical documentation to payers.

Responsibilities

• Review, analyze, and renegotiate DME and IDTF contracts to align with organizational goals and market standards.
• Ensure agreements comply with federal, state, and payer regulations.
• Identify opportunities for cost savings and improved service delivery through contract optimization.
• Draft, review, and execute LOAs for special arrangements or exceptions, including resolving billing and payment issues with non-contracted providers.
• Monitor contract performance, reimbursement trends, and regulatory changes, and provide reporting and strategic insights to leadership.

Benefits

• Career development opportunities with an international company.
• Eligible employees may qualify for free medical coverage in the Health Investment Plan (HIP) PPO medical plan in the next calendar year.
• Retirement savings plan with a high employer contribution.
• Tuition reimbursement.
• Freedom 2 Save student debt program.
• FreeU education benefit, an affordable and convenient path to earning a bachelor’s degree.
• Health and wellness benefits.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree